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Provide Basic Information

We need some basic information to ensure that the benefits and rates displayed in the next step are appropriate for you. You are not committing to purchase at this point. The benefits provided by the plan as well as the plan’s rates will be provided in the next step. Benefits are detailed in the plan brochure’s Schedule of Benefits section.

Once you've entered this Basic Information and select "Continue" you'll be able to open and review a pdf with complete plan details, including benefits and name of underwriting company.


School Information

School Name: Mount Holyoke College

Basic Information

Student Date of Birth:
 (eg. mm/dd/yyyy)

Include Spouse in Policy:

Number of children to include in policy:

Zip Code (U.S. Address):*
 (eg. 12345)